1335 73 0 LLJ�Ly Tri-Plea
/ ' � �-� ,LOT NO._
Tract #3055
Deep Cliffe
f (APPLICATION FOR APPLIANCE PERMIT Estates
JUL Y. 9 IyW CITY OF CUPERTINO
Da1en!TV7/24/63mFP-i � � 196___. Permit No.
v" ... _. ....
Fee $ /C
co
GO(V Application is hereby made to the City of Cupertino for a permit to install
p gas appliances as listed on the reverse side hereof, and agrees to install slid
Happliances in accordance with the provisions of the Plumbing rode of the City
of Cupertino, and all other laws applicable thereto.
x
8 Use of Premises Res .
u
Owner Dean Inglis Assoc. _ Address 2235 Grant Rd
SAN CAR , 1NC. Address LO Altos
779 OLD COWtbY4'& tno^a, AGeN7
SAft&& Lys jQaj 0fNIA APProvezff _
^' PLUMBING !NSPBCT04
Remarks (Check ✓)
Type of Appliance I Units Fees I New Replace Relocate
Gas Ranges
Wall Heaters
Gas Plates
Circulating Heaters
Blower Furnaces 1 3 13.0011 1
Gas Fired Boilers I 1 II 1 1
Warming Ovens 1
Percolators
Griddles
Steam Tables 1 1 1 1
Gravity Furnaces 1 1 11 1 1
_Suspended Unit II _
Floor Furnace
Miscellaneous I
NAME TYPO
Fee x.0011
Comb Ven sl 8.0011 1
21 Out.-Inletb 15.2511_ 1 _
I I II I
I I II I I
pp lance Fees 1 .2 �I�
Inspected and Approved .. . .�3 �_. . . ... ..._........__....................
D F. L-`��INSPECTOR